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Best Practice for Long-Term Central Venous Access and Management of Complications

  • R. Cartland Burns
Reference work entry
Part of the Organ and Tissue Transplantation book series (OTT)

Abstract

Secure, durable, reliable vascular access has become one of the most central requirements for continuing management of children with Intestinal Failure and the need for continuing parenteral nutrition. The secure placement and maintenance of vascular access devices has many potential vulnerabilities including inadequate vascular anatomy, infection, catheter dislodgement or damage, fibrin sheath, and many others. The modern ability to maintain these implanted devices for many years stands as a testimony to the multidisciplinary efforts that have addressed each aspect of vessel and catheter preservation. In most institutions regularly treating children with intestinal failure, guidelines have been proposed regarding the placement of catheters, the types of catheters used, and the care and use of the catheters. This continued strict adherence to protocols has been shown to have dramatic effects in extending the lifespan of a useful catheter.

Keywords

Catheters Intestinal failure Parenteral nutrition Vascular access 

References

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Riley Children’s Hospital, Indiana UniversityIndianapolisUSA

Section editors and affiliations

  • George Mazariegos
    • 1
  • Dale Zecca
    • 2
  • Jennifer Melvin
    • 3
  1. 1.Hillman Center for Pediatric TransplantationChildren’s Hospital of Pittsburgh of UPMCPittsburghUSA
  2. 2.Children’s Hospital of PittsburghPittsburghUSA
  3. 3.Children’s Hospital of PittsburghPittsburghUSA

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